Bederak, Dmitry

Bederak, Dmitry is an individual health care provider with primary practice located at 6701 N Charles St Ste 4105 , Baltimore MD 21204-6881. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Bederak, Dmitry can be contacted via phone (443) 849-8200.

Contact Information

Primary practice address
6701 N Charles St Ste 4105 Baltimore MD 21204-6881
Phone: (443) 849-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R204060 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X R204060 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X R204060 Maryland

Profile Details

NPI number 1194490250
LBN Legal business name Bederak, Dmitry
Credentials DNP, CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2021
Last updated Jul 23rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers